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Volume 361:312-314 July 16, 2009 Number 3
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Case 11-2009: A Man with Fever, Headache, Rash, and Vomiting

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 by Bell, S. K.
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To the Editor: In the Case Record of a man with fever and rash (April 9 issue),1 acute infection with the human immunodeficiency virus (HIV) was the definitive diagnosis. The rash in acute HIV infection is commonly described as maculopapular or morbilliform.2 The authors note that the rash in this patient was nonvesicular, which is why they excluded infection with varicella–zoster virus (VZV). On the other hand, acute HIV infection cannot be ruled out in the presence of a vesicular rash. We evaluated a 28-year-old man presenting with fever and a diffuse vesicular eruption associated with some pustular and crusted . . . [Full Text of this Article]




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